Allison, James
Allison, James was paid $118K by Medicaid between Oct 2020 and Dec 2024, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 84% of everything it billed.
33Billing provider infoALLISON, JAMES
KITTANNING, PA 16201
KITTANNING, PA 16201
33aNPI1508809476assigned 06/14/2006
33bProvider typeOptometrist
28Total paid$118K
24GClaims2,917
24DCodes billed6
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#210 of 983
Median peer was paid$20K
This provider vs. median5.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 163 | $7K | |
| 2021 | 709 | $31K | |
| 2022 | 713 | $31K | |
| 2023 | 774 | $34K | |
| 2024incomplete | 558 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 84% | 2,187 | 2,184 | $98K |
| S0592 | Comprehensive contact lens evaluation | 8.4% | 281 | 281 | $10K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 7.4% | 186 | 186 | $9K |
| 92310 | <1% | 21 | 15 | $735.00 | |
| 92002 | 0% | 16 | 16 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 226 | 212 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.